List of Attachments and Technical Exhibits USE.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
ENTERPRISE HEALTH UNIT SERVICES
Solicitation number
70LGLY26RGLB00005
Issued by

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This file is a list of attachments and technical exhibits for a Request for Proposal (RFP) for Enterprise Health Unit Services at the Department of Homeland Security Federal Law Enforcement Training Centers (FLETC). The solicitation, numbered 70LGLY26RGLB00005, seeks health services for four Training Delivery Points located in Glynco, Georgia; Artesia, New Mexico; Charleston, South Carolina; and Cheltenham, Maryland. This is a competitive Woman-Owned Small Business Set-Aside with an anticipated single award, fixed-price, Requirements-type contract and task orders for each site. The NAICS code is 621999 (All Other Miscellaneous Ambulatory Health Care Services) with a small business standard of $20.5 million.

The attachments include critical forms and documentation such as FLETC Statement requirements (FTC-SEM-34), motor vehicle accident reports (Standard Form 91), witness statements (Standard Form 94), notifiable disease reporting, survey reports, medical clearance requests, health questionnaires, OSHA recordable injury tracking, physical performance requirements, and a pricing table for submission. Technical exhibits encompass a Quality Assurance Surveillance Plan, Performance Requirement Summary, student and staff historical population health data across all sites, a formulary for all locations, Service Contract Act wage determinations for each county, accountable and non-accountable Government-Furnished Property (GFP) inventories, historical work request data, and OSHA recordable injury documentation. These materials establish the operational requirements, health service standards, compliance tracking mechanisms, and resources necessary for contractor performance across all four FLETC locations.

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File Type Posted
70LGLY26RGLB00005-0004.pdf PDF
70LGLY26RGLB00005-0003.pdf PDF
70LGLY26RGLB00005-0002.pdf PDF
Attachment 21 Pricing Table Excel Spreadsheet Rev1.xlsx XLSX spreadsheet
70LGLY26RGLB00005-0001.pdf PDF
TE 3-13 Statistics Report October 2025.xlsx XLSX spreadsheet
TE 3-19 Statistics Report April 2026.xlsx XLSX spreadsheet
TE 3-14 Statistics Report November 2025.xlsx XLSX spreadsheet
TE 3-15 Statistics Report December 2025.xlsx XLSX spreadsheet
TE 3-16 Statistics Report January 2026.xlsx XLSX spreadsheet
TE 3-18 Statistics Report March 2026.xlsx XLSX spreadsheet
TE 3-17 Statistics Report February 2026.xlsx XLSX spreadsheet
Attachment 11 FLETC Form 254-01-01.pdf PDF
Attachment 16 Form Rhabdomyolysis Tracking.xlsx XLSX spreadsheet
Attachment 20 - Medication PAR All Sites.xlsx XLSX spreadsheet
Attachment 18 DHS Form 11000-6 NDA.pdf PDF
TE 14 List of Deliverables.pdf PDF
TE 3-3 Statistics Report December 2024.xlsx XLSX spreadsheet
TE 13 OSHA 300 300A 301 Forms.pdf PDF
Attachment 15 Form SSTI Monitoring.xlsx XLSX spreadsheet
TE 4 Medicines (Formulary).pdf PDF
TE 1 QASP EHUS.pdf PDF
TE 10 Artesia Accountable Non-Accountable.pdf PDF
Attachment 21 Pricing Table Excel Spreadsheet.xlsx XLSX spreadsheet
Attachment 2 Form SF 91 Motor Vehicle Accident Report.pdf PDF
TE 3-2 Statistics Report November 2024.xlsx XLSX spreadsheet
Attachment 7 Against Medical Advice Form.docx DOCX document
TE 5 WD 2015-4281 R36.pdf PDF
TE 3-5 Statistics Report February 2025.xlsx XLSX spreadsheet
TE 3-8 Statistics Report May 2025.xlsx XLSX spreadsheet
TE 3-9 Statistics Report June 2025.xlsx XLSX spreadsheet
TE 8 WD 2015-5455 R30.pdf PDF
Attachment 1 Form FTC-SEM-34 FLETC Statement.pdf PDF
Attachment 6 Form FTC-ALM-46 Move Order Request Form.pdf PDF
Attachment 10 FLETC Form 500-14-01.pdf PDF
TE 3-6 Statistics Report March 2025.xlsx XLSX spreadsheet
TE 3-7 Statistics Report April 2025.xlsx XLSX spreadsheet
Attachment 12 Form OSHA.xlsx XLSX spreadsheet
TE 3-4 Statistics Report January 2025.xlsx XLSX spreadsheet
Attachment 9 Form.xlsx XLSX spreadsheet
TE 3-1 Statistics Report October 2024.xlsx XLSX spreadsheet
Attachment 13 FLETC Form 500-14-04.pdf PDF
Attachment 5 Form FTC-ALM-44 Survey Report.pdf PDF
Attachment 17 Form Refrigerator Temperature Log.xlsx XLSX spreadsheet
TE 2 Performance Requirement Summary.xlsx XLSX spreadsheet
Attachment 4 Notifiable Diseases Poster.pdf PDF
TE 9 Glynco Accountable Non Accountable GFE.pdf PDF
Attachment 3 Form SF 94 Statement of Witness.pdf PDF
Attachment 19 FLETC Form 500-14-02.pdf PDF
Attachment 8 FLETC Form 066-01-01.pdf PDF
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Sheet1 List of Attachment and Technical Exhibits

DesignationAttachments# of Pages
Part 9, Attachment 1FTC-SEM-34 FLETC Statement -Fillable1
Part 9, Attachment 2Standard Form 91, Motor Vehicle Accident Report5
Part 9, Attachment 3Standard Form 94, Statement of Witness3
Part 9, Attachment 4Notifiable Disease Condition Reporting3
Part 9, Attachment 5FTC-ALM-44 (11/22) Survey Report2
Part 9, Attachment 6FTC-ALM-46 (3/22) Move Order2
Part 9, Attachment 7Against Medical Advice (AMA) Form1
Part 9, Attachment 8FLETC Form 066-01-01 Request for Respirator Medical Clearance1
Part 9, Attachment 9Students Referred to Specialists - Weekly Report - Blank Form1
Part 9, Attachment 10FLETC Form 500-14-01 Health Questionnaire1
Part 9, Attachment 11FLETC Form 254-01-01 Employee On-Duty Fitness Program Privacy Act6
Part 9, Attachment 12Weekly OSHA Recordable Injuries and Illnesses - Blank Form1
Part 9, Attachment 13FLETC Form 500-14-04 Trainee Restriction Status1
Part 9, Attachment 14FLETC Form 066-01-20 Injury Information1
Part 9, Attachment 15Skin and Soft Tissue (SSTI) Monitoring & Tracking - Blank Form1
Part 9, Attachment 16Rhabdomyolysis Monitoring & Tracking Blank Form1
Part 9, Attachment 17Refrigerator Temperature Log for Twice Daily Readings Blank Form1
Part 9, Attachment 18DHS Form 11000-6, Non-Disclosure Agreement3
Part 9, Attachment 19FLETC Form 500-14-02 - Physical Performance Requirements (PPRS)14
Part 9, Attachment 20Medication Inventory PAR levels all sites6
Part 9, Attachment 21Pricing Table Excel Spreadsheet for Price Submission1
DesignationTechnical Exhibits# of Pages
Part 9, Technical Exhibit 1Quality Assurance Surveillance Plan (QASP)18
Part 9, Technical Exhibit 2Performance Requirement Summary (PRS)4
Part 9, Technical Exhibit 3-1 thru 3-12 each with 8 tabsStudent and Staff Historical Population Data & Health Statistics12
Part 9, Technical Exhibit 4Formulary - All Sites11
Part 9, Technical Exhibit 5SCA WD 2015-4281 Rev 36 Prince George's County, Maryland10
Part 9, Technical Exhibit 6SCA WD 2015-4427 Rev 33Charleston County, South Carolina10
Part 9, Technical Exhibit 7SCA WD 2015-4477 Rev 34 Glynn County, Georgia10
Part 9, Technical Exhibit 8SCA WD 2015-5455 Rev 30 Eddy County, New Mexico10
Part 9, Technical Exhibit 9Glynco Accountable & Non Accountable GFP16
Part 9, Technical Exhibit 10Artesia Accountable & Non Accountable GFP9
Part 9, Technical Exhibit 11Charleston Accountable & Non Accountable GFP2
Part 9, Technical Exhibit 12Historical Data Service Contract Work Requests (SCWRS) by Items1
Part 9, Technical Exhibit 13OSHA 300, 300A, & 301 Forms - OSHA Recordable Injuries and Illnesses12
Part 9, Technical Exhibit 14Deliverables/Submittals3

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